Organization
LSREF GOLDEN OPS 14 (WY) LLC
Active
Other names
Aspen Wind Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
TOM WENTZ JR. (EXECUTIVE V. PRESIDENT/COO)
(701) 837-7103
Entity
Organization
Contact information
Practice address
4010 N COLLEGE DR, CHEYENNE, WY 82001-1960
(307) 778-9511
(307) 772-0977
Mailing address
3015 16TH ST SW, STE 100, MINOT, ND 58701-6906
(701) 837-7103
(701) 838-7785
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10113
WY
Other
Enumeration date
02/02/2010
Last updated
02/02/2010
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